| NPI | 1750563490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A CONDRELL Physician 202-244-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD19744) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |